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KMID : 1103720140700060415
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Journal of the Korean Society of Radiology
2014 Volume.70 No. 6 p.415 ~ p.418
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Coronary-to-Bronchial Artery Fistula Originating from the S-Shaped Sinoatrial Node Artery: CT and Angiography Findings
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Beck Kyong-Min
Lee Bae-Young
Cho Eun-Ju
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Abstract
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Coronary artery fistula (CAF) is a rare type of anomaly in which a fistulous connection between a coronary artery and another vascular structure is present. Even among CAFs, a connection between a coronary artery and a bronchial artery is not common, and although coronary-bronchial fistula from the sinoatrial node (SAN) artery has been occasionally mentioned in the literature, to our knowledge, a communication between the S-shaped variant of SAN artery and the bronchial artery has not been reported before. We recently experienced a unique case of coronary-to-bronchial artery fistula originating from the S-shaped SAN artery in an 85-year-old male with nocturnal chest pain and would like to discuss its CT and coronary angiography findings.
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KEYWORD
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Arterio-Arterial Fistula, Coronary Vessel Anomalies, Sinoatrial Node, Coronary Angiography, Multidetector Computed Tomography
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